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Am J Public Health. 2014 Jan;104(1):17-22. doi: 10.2105/AJPH.2013.301608. Epub 2013 Nov 14.

Six components necessary for effective public health program implementation.

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Thomas R. Frieden is director of the Centers for Disease Control and Prevention, Atlanta, GA.


Public health programs succeed and survive if organizations and coalitions address 6 key areas. (1) Innovation to develop the evidence base for action; (2) a technical package of a limited number of high-priority, evidence-based interventions that together will have a major impact; (3) effective performance management, especially through rigorous, real-time monitoring, evaluation, and program improvement; (4) partnerships and coalitions with public- and private-sector organizations; (5) communication of accurate and timely information to the health care community, decision makers, and the public to effect behavior change and engage civil society; and (6) political commitment to obtain resources and support for effective action. Programs including smallpox eradication, tuberculosis control, tobacco control, polio eradication, and others have made progress by addressing these 6 areas.

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